3842 Mill Run Lane
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA094300
Date Issued: 06/07/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 3842 Mill Run Lane
Lot: 4 Block: 12 Addition: Bridle Ridae Ist
PID: 10- 14996-040-12
Use:
Description:
Sub Type: e-Siding Construction Type:
Work Type: Sidin,
Description: House & Garage
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: When installing ventilated soffit material. remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required bn law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Lindus Construction Bradley Ferg
879 Hwy 63 3842 Mill Run Lane
Baldwin WI 54002 Eagan MN 55123
(710 684-4647
I hereby aeknowledae that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
I For Office Use I
?JUN 18 RECD I Permit
City of E"*R I
Permit Fee.
1
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: 46 /
Phone: (651) 675-5675 I I
Fax: 651 675-5694 I Staff. I T- j
V
2010 RESIDENTIAL BUILDING PERMIT APPLICATION C' ad19-4
Date: AP4 t'^^~- Site Address:
Tenant: Y.Z p Suite
RESIDENT / OWNER Name: Phone: U61 ~Dqcb
Address / City / Zip: 3O qL L M' "
Applicant is: Owner X_ Contractor
TYPE OF WORK Description of work: _G&O cudo
_ Cj" Construction Cost: 1* LP I (OLD . Multi-Family Building: (Yes / No&)
CONTRACTOR Name eAM' t1 LL IJA_)L) , 1 h G. _ License -
Address: gqq Ci/ty,:,p~ -Am W-+. 1
State: ` - Zip: - _ Phone: l!t o ~-t `p4I
Contact: V41'Mt7C"LN$'S~Y-1 _ Email: Y-f- -OvIiCP.- 6 Mid Wlsj Uaf UArd.cwo
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_-Yes -_No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.om
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a revie pproval of plans.
x_ ~ V n IGA L. nkoo
Applicant's Printed Name Applicant's ignature
Page 1 of 2
1 LY)
y 47
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
4 `u Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall Vemolition of entire building - give PCA handout to applicant
99 g
DESCRIPTION ~C
Valuation Occupancy ~QL MCES System
Plan Review Code Edition g4 7 SAC Units
(25%___ 100%4) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: __ice & Water -Final Pool: --Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: --Rough In --Air Test -Final Windows
Insulation Retaining Wall: - Footings ` Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review q 00 L
MCES SAC r' j
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
(C4,
SURVEYOR'S CERTIFIC E SIENNA CORPORATION
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( 136.87 N 88° 3 `30" F
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REVISED 12-21-87 TO SHOW
A PROPOSED HOUSE FOR
KEYLAND HOMES
• DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH 30 FEET
DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 9aa, 3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK qoa • 7 FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 4. Block 12, BRIDLE RIDGE I ST ADDITION, according to the recorded
Plat thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS ZISI DAY OF WeEr~ i&m ,19el.
APf iIOVETI FOR SIENNA SIGNED: JB MILL, INC. Jar
CORPORATION if /
.~a~2~~ ~
,f t ..12~
BY.
BY:
HAROLD C. PETERSON, LAND SURVEYOR
DATEtl1 MINNESOTA LICENSE NUMBER 12294
M ~1 ?I W O O DD p
James R. Hill, inc.
Or m m A m b'~
o m o n z m= m PLANNERS / ENGINEERS ! SURVEYORS
-n ;0 Q1 Z
O m Z 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
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'
• • ? • PERMIT It
. . PWMBING PERMIT RECEIPT # ?Cgt??
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address - BLDG. TYPE WORK DESCRIPTION
Lot4L-Block /,J Sec/Sub Res. New -K
?t Mult. Add-on
m Name Comm. Repair
Other
c City
•` ?=s
?(a,r?, Phone - ONLY - COMPLETE THE FOLLOWING:
RES
PLBG
,
, .
.
NQ. FIXTURES TOTI.
00 $
?Water Closet - $3
? ?
Name +
.
-
,LBath Tubs -$3.00
c Address i $100
L
/
; avatory -
__
_
p City Phone Shower - $3.00
-/-Kitchen Sink - $3.00 -5< <' e:'
FEES UrinalfBidel - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE _Z-Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES _,?_'Floor Drains -$1.50 /- --? ?'
TOWNHOUSE & CONDO - RES. RATE APPLIES _/-Water Heater -$t.50 /--? C
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpoot - $3.00
MINIMUM - COMM/IND FEE -$20.00 --/-Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00)
' Well - 510.00
' Private Disp. - $10.00
.?Rough Openings - $1.50 • ? G`•
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: ='y• ??
PERMIT #
[. ?. MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3A - °? "
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?
-
CONTRACT PRICE PHONE: 454-8100
Site Address `i2 BLDG. TYPE WORK DESCRIPTION
Lot 81ock jSp,?ISub Res. New <
Nan1e Mult Add-on
?
Address Comm. Repair
c City P?? l Phone Other
FEES
L Name RES
HVAC 0-100 M BTU -$24
00
414 .
.
c Address ? ADDITIONAL 50 M BTU - 6.00
p City 1? ?^ Phone $ 90-16? (RES. HVAC INCLUDES A/C ON NEW
Ct)NSTRUCTION)
GAS OUTLETS (MINIMUM
i PER PEkPAtT) - 1
50 EA
-
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air t? M BTU APT. BLOGS. - COMM. RATE APPLIES
il
r
B
M BTU TOWNHQUSE & CONDOS - RES. RATE APPLIES
o
e MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
20
MINIM
M C
MMERCIAL FEE
00
Air Cond. M BTU .
-
U
O
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outiets # BEYOND $1,000)
Other
FEE -
S/C: SIGNATURE OF PERMITTEE
?
'
' tJt?
q
j' TOTAL:
,-
..
.. . FOR: CITY OF EAGAN
'C.,...
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. .
.. .
.. . .__`_ _.`__ ._ ' _.'__w. -
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:
fEtrtif iraft of (Orrupanry
` titp of (Eagan
DPpai'bp1Ptt# of g1TtbUtIJ jwPtYtDt[
This Cenificate issued pursuant 10 !he requirements of Section 306 of the Uniform Building
Code cenifying that at the time of usuance this structure was in compliance wilh tlre various
ordinances of the Crty reguladng building constructron or use. For the jollowrng.•
uxcwwimrioo '-T 1 "r/?'t?? sas.ftrmmrb. 14573
Occupncy Type R3 ?? r? ???-?Zooing Diuria TppeComt nNICI
OWOCfOfBLLi1Q106 ,?'liiLtYV/ C?.1`i,.J A?? f51?yi...1.., t(w•, DTV1J...?1-.
BuMitl$ AWfm 3842 i'i a L?.. i .1'N LO-WYU+ , I))2 , 17lLLLRl: AlL:AT I',-,
El.h: 19rk
eumns offiaal
POST IN A CONSPICUOUS PLACE
?
CASH RECEIPT
CITY OF ' EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
(
DATE ' 19
wECawsc._ ?
Pwot.t v-
i
AM NT
DOLLARS
too
E]CASH E)CHECK
/ I
i',?..?L?I`v
g ? YVhite-Payen CoPY
Yellow-Postinp Copy
Pink-File Copy
Thank You ,
BY
,
- _..-- -? ? . - •
BLDG. PERMIT N0. , F"?? ??
i,
01-?321? Blde. er
01-3422
01-3445
01-3446
O1-Z155
17-3860
20-2275
20-3865
20-386$
20-3716
20-2252
20-3713
20-3743
79-386b
, -41-3855
Plan Check
Surch./Adm,
SAC/Adm.
Surcharge
Road Unit
SAC
Water Conn,
Water Trmt,
Water Metei
Acct. Dep.
Water Permi
Sewer Permi
Sewer Conn.
Park Ded.
TOTAL
? . .. . _ ._
CITY OF cAGAN Permit No: 4-7 -$8
3830 Pilot Knob Road Wleter N• 7? _? ?ate:
7 Size: 'r
P.O. Box 21199 Reader No:11? Ll
Eagan, MN 55121 Date;
Owner.
SiteAddress: `:un I.,ane L4 B12 F;ridle ^idf!e
Plumber. '=11exic<?n .,.,, _
Conn. Chg: ? ? ? •
Acct. Dep:_ 15.
Permit Fee: _ ? ?? •
Surcharge:
Tr. Plant 204.
Rl
c4AWith the City of Eagan
.s?., _......a.??.
Meter. _ ? 7 •,,,_ i
Misc.: B
Y
WATER SERVICE PER T
CITY OF EAGAN Permit No: Date:
3830 Pilof ?nt6 Road B/P No: Date: ' .
P.O. B1ix Z1199
Eagan, MN 55121
SEWER SERVICE PERMIT
MWCC: Zoning.
City Ch • ?'`?i?`
9: No. of Units:
Acct. Dep: - . . .., ?.:
Permit Fee: ,, - 1 agree to comply with ihe City oi Eagan
Surcharge: Ordtnances.
`{-- CITY OF EAGAN 14573
` • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ONE: 454-8100 BUILDING PERMIT Recelpt?
To be used for Est. Value Date AE?'-"" 7?= ? ,19
Site Ad?s OFFICE USE ONLY
Lot On Site Sewage _ Occupancy .14_
? MWCC System _ Zoning
Parcel No. On Site Well Type of Const
City water -? (ActuaQ
a Name o3 altici t;or..c•:, (Allowable)
= Address 1 `'4 50 Ro r r, s v i 1 l? k'KW ), * of Stories
3 Lenpth ?..^?
o City Phone Depth
S.F. Total
_ ame _ Footprint S.F.
Address
City Phone
Name
City
Phone
APPROVALS FEES
Assessments _ Permit T •_
Water/Sewer Surcharqe
Pollce _ Plan Review
Fire _ SAC, City
Engr. _ SAC, MWCC
Planner Water Conn. ?..
,?
Council
_ Water Meter r
?
At -+"-ll:'f
I hereby acknowledge that I have read thls appHcation and state Bidg. Off. _ Road Unlt
thattheinformationiscorrectandegreetocomplywithallapplicable APC _ TreetmentPl
State of Minnesota Statutes and City of Eagan Ordinancea Variance _ Parks
Copies
Signature of Permittee ? TOTAL
A Building Permit is Issued to: '`-I'"' ""o `.,q on the express conditfon that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea
Building Official
- Permit No. Permit Holdar Oote Telaphone x
Plumbing
- ? -
H.v.ac. 4 11k Aw
Electric ?C
?-
Softener '.
Inspection Dste Insp. Comments
Footings I /. t
Footings II
Foundation
Framing -l- ?9
Roofing
Rough Plbg.
Rough Htg. _
Isul. ?
FireplaCe
Final Htg. - z. yF ?
Final Plbg.
Bidg. Final e e e L, a
Cert. Occ. Sz y
4
Temp. LP A, ? ?6c•s-
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
CITY OF EAGAN
APPROVALS
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 -
BUILDING PHONE:454•8100 AOp/p?
PERMIT Receipt# 1)0
Tobeusedfor SF/Gar Est.Vaiue $67,000 Date January 27 ,19 88
Site Address 3842 Mi 11 Run Ln
Lot 4 Block 12 Sec/Sub. Bridle Ridqe lst I OnSitesewage
MWCC System
Parcel No. on Site weu
, City water
a Name Keyland Homes
; Address 14450 Burnsville Pkwy
0 City R,rncvi 71e_ Phone 894-2636
o Name_
? ? Address
? City_
Name
Address
City Phone
1 hereby acknowledge that I have read this application and stete
thattheinformationfsconec i dagreetocompJy withallapplicable
State of Minnesota Statut ?nd CR ot e cfi r ances.
Signature of Permittee ?
A Builtling Permit is issued to: Keyland Homes
all work shall be done in accordance with all epplicable State of 1
Assassments
WateVSewer
Police
Fire
Engr.
Planner
Cauncil
N° 14573
OFFICE USE ONLY
Occupency
Zoning
Type of COns[
XL (ACtuaq
(Allowable)
# of Stories
Lenglh
Depth
S.F. 7otal
Footprint S.F.
V-N
V-N
--4T'
W-1-
FEES
_ Permit
_ Sumharge
_ Plan Revfew
_ sAC, ciry
_ SAC, MWCC
_ WaterConn.
_ Weter Meter
442.00
33.50
221.00
100.00
550_00
550.00
67.00
BIdg.Off. _ RoadUnu -00
I APC = Treatment P7 904 _OO
Variance Parks
Copies
TOTaI 2?.4.97_50
on the exDress condition that
Ainnesota Statutes and Ciry of Eagan Ordinances
Building Official
This reauesl voitl //a g/pp?
18 nwn1hs from
D . 81819 zd
"- z -7- FY
VLicensed Elecvical ConVactor
? Own¢r
Now
I hereby request inspection of ebova
elecbical work installed at:
?C? r1O ?J
VJill Notity, InsDec?
lor Wh¢n peady
31,.._ _. _?. ?.
/
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ect?on
?
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R?
o. 7ownship
NoorN
Ranpa No. "'-'
County
Or,cuuant IPflINTI ?nOrA
? Phone No.
? rr ?vEt
Power S plier Ad
dress
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o L? Ssod t79 .d 'P?.rJ N.J
Eiectrical Convactor (Company Namn)
'
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. nhnctor
s License No,
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,?
MailingqddressICw[ra ororOwn¢rM?ki?lnslailation?
n
? S5/?
?mor a
SiBnaNro ICOntract i/O ner Making Installation Phone Nu ber
MINNESOTA S7ATE BO D OF ELECTpICITY THIS INSPECTION HEQUEST WILL NOT
Gripgs-Midway Bltlg. - 49
paom N-191 BE ACCEPTED BY 7HE STqTE BOAND
7827 Univarsitv Ave.. St. Paul, MN 55104 UNlE55 PROPEN INSPECTipry FEE IS
Phone(612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
0 EB-00001-06
o q See instructlons for comoleline this form on beck ot yellow coCV. 80 Jrn?
?- 0.1, 8 19 "X" Below Work Covered by This Reouest
Adtl Nep. Tvpe o) BuilOing AODIianCeaWi,eA - EquiumeM Wired
Home Range Service
e.x
DuPl Water Heater xtwes
Apt. BuilAing Dryer ati
Commercial Bldg.
Furnace n
Efr
w
Industrial BIAg. Air Conditioner ank
Farm mrr oe,:, v i??
I .r ha.,
omput e lns pectian Fee Belaw
p Fee
00 Service
Entrence5ize
0
200
tt
Fee
Fnxtlers/Subfaetlers
#
F^.
Circuits
to
qm 5
Above 200 0 to 30 qm s O,GO U t, 30 M: 5
Amps. 31 to 100 Amps Z 0.01j 31 to 100 qm .
Swinming Pool
Transiormer Above 700_Am s Ahove 700_Am s
s
Si
n Irrigation Booms Partial - '
Other Fee
g
s S
Vec ia l I nSUe Ct loil
5
Aemur ks
TZ
!To
TOTAL F
,
Rou
h-in
B
o,?e
1, the Ele -
? / Inspectoq herab
Final y
-
( DA e cerlily thet the above
i
4 nsaection has bean
This rBGUe6t vdA 18 montha irom / ?. ?
.
P-e rrede.
I.v ?
• ' ja- ( 11!1 q3 - ' 1L,.
198$ BUILDING PERMTT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICFf ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL [INITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONII9ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
J A N 2 2 1q88
To Be Used For: r Aaluation: Date:
Site Address ,CL?'j
Lot Y Block
Parcel/Sub / S r
Owner
Address ? ?Sd
City/Zip Co??y?
Phone il"> (1 " Z 6
??-??-
Contraetor Y?- p
Address
City/Zip Code
Phone
Arch./Engr.
Address .
City/Zip Co ?r• -•?
Phone #
-6? Ooo_-
On site sewage
MWCC system -7
On site well
City water t/
PRV required _
$ooster Pump _
7
APPROVALS
Occupaney 11-3
Zaning 7{ - 1
Actual Const V-N
Allowable Y-N
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Engr/Assess Permit L-IL12,00
Planner Surcharge 3 30 50
Couneil Plan Review 221 .DO
Bldg. OfP. = 1 y& SAC, City lDD , OD
Varianee SAC, MWCC SSD, 00
Water Conn p o0
Water Meter 61)•0 0
Road Unit ?, DO?
Treatment P l 2pLI , UO
Parks
Copies
TOTAL 2? Ru a.s?
.:? ?. . VA Lo r.I
G a?.???
zo x 22- = o x Oi = 5 zgo
i3AsEmeNT'
ZGX40 = 1040X14= 1?560
I ST ?LOO{?
Z6Xyu - l0?l0
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?v?o xyy=4?b4o
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SURVEYOR'S CERTIFICATE SIENNA CORPORATION N
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83o32
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Z m / 131.?4 48.38 ---? ?' 1 m? 10 m -ODI
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10 I ? 26.33 Cp
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N ? o c?\o ?a or
Z 4? M No\ ° o (r?
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? M? o-sm-, ;; 21.67 a ?°x a$ W W ?
? (V ? ;z vPROPOSED„ p 2 yd ? ? I
u? :ARI,Y.EWIkI .. ".., cv? t?. ? 25 67 Oi W ?j ?L1
22.33 a
10
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W
\ I 25 ,? ? 33.50 48.03
136.87 N88°39'30`oE m
/ - - - -7 I ; ao
REYISEO 12-21-87 TO SHOW I
A PPOPOSED MOU9E FOR
KEYLAND HoMES
? DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR a qoo,3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR= E, 9 1, 5 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = qoo • 7 FEET
WE HEREBY CERTiFYTO SI ENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 4, Black 12, BRIDLE RIDGE I ST AODITION, according to the recorded
plat thereof, Dakata Caunty, Minnesata.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS Z1S1 DAY OF qrcEM3t'1- , 19f,1.
AP1'i20ULF1 Ff)R SIENNA
CORPDRI1TlON SIGNED: J 8'?.AILL, INC.
BY : BY:
HAROLD C. PETERSON, LAND SURVEYOR
f7/1T[flt MINNESOTA LICENSE NUMBER 12294
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N Z
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
1'
rtiya i or v
EX .RIOR [IJVF_LOI'e, nvcRtnr,f. "li" COPII'lITl1T1(1M
_^- . ? .. . . .. ...
. .•1 V' 7_
OWNER: nnif:
______ --- ---- --- ------Z?-_Lq_SS
SITE ADDRESS:-IQI y
CONTRlICI'OR: ?I
--
Determtne workiny s(luare fnotaqe of each
l. Total exposed wall area.....f't, x .11_
2. Total roof/ceilyny area..... _I_?_Q p sy, R. x.OZG =_._??
?' - -
Tota•1 expused wal l arca ?il'n ve floor=__ 171tP _ ?
a. Total wall window area ................ ......... ....... ?
I). Total door area ....... .........
?? ---? j
c. Total ...........
sliding ylass dooi- area......... ... :
d.
Total
fireplace wall area ............. ......
........ ..................
'
e.
Total
wall framing are,a (average lOw). .
.......
.. ......
............
......... r.
I
I
f. Total rim joist area .......... ......... 2`
?
9-
net
........
wall area above floor ..........
.........
.......
?
L
h.
'
wall area above floor .......... ..
........ .................. ? ?v,?_ '
I
i. • wall area ahove floor....Hx .... .
......... ..................
.................. -
?
,1. frame wall area uC foLMdatiou.." ...... ......... .................. `
Total exposed foundation area=
-•-
??-- '
k. Total foundetion window arca .......... ........ ..- ? ?
l. Total net foundalion area above grade . .
......... ....
.... '.
Determine "u" value of e ach wall segmenL
(e.g, window, (loor, each separale wall section)
a._-1..?I---- X
b.x „U„_ .31
C. ?. X „U„ ?.
d. x „U„
e._R „U" . O$--- - ------
f._---[3-l X %1,
---5---
S x %„
e,
L3J . DS
--
. i
h. X .4ut. _
i. X U., _ '.
?
j, _ x U..
k If item A3 is the san:?
• as, or less than item
X"u"_ . Q$_
_•_??__ kl, you have met.the ;
(ntent of SDC.GdUG (c I
J. ...... ..
. . . . . . . . . . . . . . . . . . . . . . . . . To ctil • ?- ? :
? !'. i
? . . ._? . ... _ .____.___. .. . . .
._.___.__- 1•_?Lll4?_I...[\.f-LL__.
?A: Lnvelopo Avernge "U" Canpul•alion PagQ 2 oF A
1b1a1 exposed roof/ceiling nrea = ??.ID
m. 7btu1 sl;yli.qlit uren ...... .. ... ... ... .. ......... ?
n. 1'otal roof/ceilinry framiitg azet (averagc
, o. 'fol•nl net insulaled roo.C/ccili,nry tarca...........
-?_
. Uetermine "U" valuc for eacli roof/ccilin9 seqment
M. x " U., o
n. X ????l -------
X
4 ........................... Totaz
If: Cotal of 1I4 is Che sxune as, or less than 112, you have mel- the intent of
SUC-60Cfi ;c) 1.
. , ; nlternatc Duilding Enve7.ope Desi9n ,
'ib ul-ilize the total envelope 'systcan method, lhe values esL•ablished by L•he sam oL•
i.tems 113 and 114 shal.l not be greal-er lhan the smn of items II1 and 112.
1' _Z??Q. S_ •I• 2. Z37S ' .
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PLAN 4if 332y
WALL
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PIC. Q? y .n. •. lr ?.1.". rJ+v.?? '
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u
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rtiue i nr y
con?erucL?on n-voluo
1. Intcrior air £ilm ,0.G1 ?
a. 1dL4?4t.?------• -- ---9J.
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4. Exleri.or aiL fil?a (sCill 0
?- :otal rz 45:$0
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1. Intorlor nir [.tlm ? O.GI.
3. l?,(Sut,.. __ 3 , 3S
d. I:xCcrio: z_i[ Piln (srf.lr)
-____- - .POCal 2. _ GjP
Go.1..1rrR?CT/ m^,,, . 1_ Tnsldc aiti £Slm 0.61
2.
3.
' .
4.
5. putsidc .iii: film U,1'!
---? ToLal :
?'iC")rs E . ' • • .
1. Znsidc air Ellm 0:61
2.
3_ ' . .
4_
5. Oursidc air fi.lia 0.17 ,
Tota1
1. Tnside aiz film V 0.61
z. •
4.
$, puCc:i.Jc oir filin 0.17
Tota1
. ktutc: Usu additional sheets i f•morc apaco l
? necdccl ;Eor details and ealeulations.
. . . , .'
. • ? ?
I Y.cct flotr uy •
• , _lSC. 16. . _ .
n ?ir t- Lv?'liM Lli V LH t 1 V IYJ (?ppqp, l4?eathentrips Guide
Wind?orwa I Doorsl) Re(erence I) Out. Wall 6
Yes- o Yes- 19_
I?•I .,e?2m,T Room Length 7n Width ?/
Coadruction No.
w.u c.eaina
Windows and Doon-Cracka ge and Ar ca
Na. Wietn
of 9ane xelsnt
af yene No. ot
IfeTts Llne.l tl,
ot eraek wrea
p, tt.
I O,,s 30,
Coef. Btu
1n61tration ?/O, 5 ? 1( 12
Glaaa 3p9 Sp /ar-ys-
Fxp. wall ap t! a48
Net exp. wall 17, /S O
-61.+.etF- 3 /
Ceiling pX r ?,20 ,$So
?-
l otal Gtu.
Required aq. ft. E.D.R. or sq. ine. WA. l,eader area
/5 Fl.? ,a f?p oom Length aO' Width /G
Windowa and Doore-CnekaQe .nd A...
No. Widt?
of D??e Nelsht
ol v?ne No. ot
Ilgpla LIne.1 t{,
ot eeaek Ana
q. tt.
?23,7 a
Coef. Btu
InfilUation 35.a -?4 $y$
GIB? g, o 1,1q6
Exp. wall O i 16 a 8
Net e:p, wa0 a54 I 7 "/?/ ?/
-lnt:welF- ?•m ol0+/6 3 !4 /L
Ceiling p X I(o a0 00
-Fkor--
lotal tttw Sl 0;r 0
Required sq. [t. 6.D.R. or sq. ioa. W.A. Leeder arcs
l5TI.1 L/V?'NR Rocm lLength li ' Wideh HdoAe
Windows and Doors-Craekage sed Ar ea
Ne. Wldth
o! Dane Halrwl
o( Pane Ne. e[
Iltble Llnaal [t.
o[ crack Arft
M. ft.
? o o vy 3a.z
Ceef. Bcu
lnfiltretion q5!q ay l06(,
Clsaa 3'? y Sa /? o
Exp. wall ' x 1a8
Net exp. wall 95, L 6
Mt-wsll-- /6 (0 96
Ceiling k f a5(, ?,5 6
9'faar--
i otsl »tu. - Og
Required sq. (t. E.D.R. or sq. ins. W.A. Lesder area i
y7 ysy .' . 70 = 678yS
S y
A.
43
1?? ? 0?'
TA"'S543I 881=583'7
INSULATION pk
f Floor Kiod How A
Fl.I j>N,pjte Room I Leogth /.Width /<
wmaom ana voon-o.racca ge ana nrea
No. W iEth
o[ pane NUgtlt
of p?no Na ot
1166ta Imal [l.
e[ craek Aw
p. tt.
U.c 3? ga ? v?
Coef. Btu
1n61tration 3S ?Yd
Cln. ya Sa ioo
Enp. wall + I O a05
Nde:p.wall /66 7 a
-InG.wsll lj.m 1(otiD
Cei?ing ? / O ?-/00
Floor
Total Btu. /./(o$?
Requircd p. ft. E.D.R. oT eq. ioa. WA. I.eader erea
154'Fl.I RoomlLeoRth iU-i Width lt) Heiaht s?
Windows aed Uoon-Craeka ge sed Area
Na WIA!
ef p?w BeIfot
ot p.n. No. o!
usee. LIroH fl.
o[ er?e% Ava
w. tp
i ,
.
tu
In6ltratioe y,a y gaj
Glan
Exp.wall rq-a x l9G.v
Net e:p. wall / 7Q I 14
r_•wall R.M /L/- (o4 JD `xl,G ? !y
Ceiling I C!-L 10 /4 ,7.5 Co
-Floor--
lotal tltu. ?ya
Required sq. h. E.D.R. or p. ioa. W.A. Leader erca
154 Fl.I Fa t 2 Renm I Length a' WidtA ?' Height 6'
Windovn sod Doon--CnekaQe aed A'ea
No, W Wth
at p?M NNgot
a[ mee e. ot
Ilghts Llesa 6
et cnek Area
p. tt.
oR v ? i9.3 0
Coef. Btu
InGltration i? a 4 /a
GleK 7, o O
E:µ wall k 6 y
Net ezp. wsll `
?ntrvmH Q,rn 53 ? y8
Ceiling g klo $ O ..'j 00
Floor
I aai ntu. 3,k33
Required p. k. &D.R or p. im. Q/A Leader arca
WeatTentrips Guide
Windows Doon Re(erence
Yea-No I Yea-No 19_
Construction No. INSULATION
Out. Wall
Windows and Doors-CrackaRe and Area
NO. Wldlh
Of Dane He16hl
O( y6n! No. ot
Ilehb Llne?l Il.
0[ v.clc An.
!y. (t.
a 36 a 40 o,y
? a y?l a aa,-) I,3 '
1 a 3 o,S ,0,9 Coef. Btu
In6ltratian !1?/? a 753
Glase 87 6 So q 3$0
_.Ezp.wall ?la+ ?+ya+a? ? r $
Nec exp. well ,aoo 0 00
AnE-eva4F
Floor 1-1a ? a b /o9d 7 7?Y?/
1 otel tStu. 7
Required sq. ft. E.D.R. or aq. ine, W.A. L,eader area
F7.I Room I Length Width Height
Windows and Doors--Crsakeae and Area
Na. WIAI?
ot y?ne Helt?t
e[ w?e No. ot
II?pla Llneal t0.
of eraek Aroa
q. tt.
Coef. Btu
Inb?tration
Glaea
Exp. wall
Net e=p. wall
lnt. wall
Ceiling
Floor
lotal tStu.
Required aq. ft. E.D.R. or sq. ins. W.A. L.esder area
Fl.1 Rocm I l.ensth Width Heiaht
Doort-Craekax end
T'o. Wldth
ot Da.s Xelint
of yane No. ot
Ilr??o 61ma1 ft
of cr?ek AreI
q. tt.
Coef. Btu
In6ltratiop
Clsea
Exp. wall
Net e:p. well
Int. Well
Ceiling
Floor
? otal C[u.
Requircd p. It. E.D.R. or sq. ins. W.A. L.esder arc? ?-
Roof
[?loarningtan
How Awlied
ttoom I Leosth W ideh
wmaows rna uoors--a,racca ge ana nrea
Nei WIAth
ofpane, Ha1sEt
OlDan. No. o[
RfhU Llneal tt.
e[enek A.m.
p.Il.
Coef. Bw
IeJiltration
CJaa
Exp. wall
Nee e:p. wa11
lnt. wall
Ceiling
Floor
Totel Btu.
Requircd p, ft. E.D.R. or aq. ina. W.A. Leader area
Fl.I Room I Length R/idth Heiaht
Windows eed Doon-Crselca ge aod Area
Ne6 wmin
of 0?w NNgOt
ef pno Na. o[
Ilghb Llnol fl.
el naek Ana
q. [t.
Coef. m
In6ltfAtaO
Glses
Fsp. wall
Net exp. wall
Int. wall
Ceiling
Floor
' Twal Btu.
' Required p, k. E.D.R. or sq. im. Q/.A. Leader erea
' F1.1 Room I Length Wideh Height
Windows and Doon--Craeksae and Arca
Ne. 1Eth
ef Dans 1ieifht
M p?n. No. et
Ilshb Llneat fl.
et crmk Ars?
q. tt
Coef. Btu
InGlention
Glau
Esp. wall
Net e:p. wnll
lot. wall .
Ceiling
Floor
I Iotal tltu. . ..
Required p. k. E.D.R er sq. ins. Q+A. Leader arca
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIQN
oF eagan
1) PROPERTY ADDRFSS: `
? NOTE: PAYMRU OF FEE AT TSME` OF F F i
; AerLxcATIoN Dos Nox ccrr ;
; sriztrre nprxaa2u. oe rIIUar. ;
.
? iNSeErrxaa or sEWER nre/ox HmMx
; iNsrni.ATxoKS wIM rsrr ee sCMOr.m ;
f IT71I1, PII7DffT FIF15 HP.Qd APPAUVID. .'?
•i+k??tt:>i?+ww?ai:»?sw+i+wta?wk??f+•
i.FY:AT• DE.SCRIPTION:. . . . . . -T T . . . . . . .
Lot Block S division or Tax Parcel ID )
IF EXISTING STRL'CT[JRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
Mont Year
PRESENT ZpNING/PROPOSID USE:
Q CONP?ERCIAL/RETAIL/OFFICE
Q INDL'STRIAL
a INSTITUTIONAL/GOVERNM47NT
2) NAME:
ADDRESS:
CITY, STATE, ZIP: .
PHONE: I
I? R-1 SINGLE FAMILY
? R-2 DUPLEX (3WO C'nits)
? R-3 TOWNfiOL?SE (Three +. Lfiits) ( Units)
Q R-4 APARTh1ENT/CODIDOMINICtM ( . Units)
ror k_iLy use
3) NAME= rCL lfA Plumbers License:
oate Active
ADDRESS: -? ?S. o
Expired
CITY, STATE, ZIP: _ i Not recorded
PHONE: MASTII2 LICENSE # 3,?3
St Initia
4)
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) is ? a?• r .: •a'n ;. e
CONNECTION 'IC) CITY SEVdER CONNECTION TO CITY WATER a OTHII2
6)
q 14
*****?FYC*****#****Y`*********Yk*********?k:F***********Ye*ik**?e********************W****YF******************
* *
* THE GOID COPY OF ZYIE PII2MIT WILL BE SENi' DIltECIS,Y 'PD PUBLIC WOF2K5 1U F7CILZTATE NIEtEEt PICK-CTP. *
? PLEASE ALIAW 7S+A WURKID7G pAYS FDR PROCESSING. SOMEONE EROM THE CITY WILL CONi'ALT YOU IF THE[tE *
* P,RE ANY PROBLENLS. *
+
,r****,?***?**,r***?****?******???****+e**?+**,?**?**+**????**r****?*+*,r***?*s.??*?*rr*???***??,r***?**+**f
FOR CITY USE ONLY
PERMIT # ISSOED -,
? .57-0
Pd w/Bldg. Permit FEES:
$ S /0 -5-2) SEWER PERMIT (INCLUDE SURCHARGE) '
$ WATER PERMIT (INCLUDE SORCHARGE)
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /,?•p t) ACCOLNT DEPOSIT - SEWER
$ $ ?S•?'4 ACCOLiNT DEPOSIT - WATER
$ WAC
$ IOSZ?'?? $ SAC
$ S TRUNK WATER ASSESSMENT
$ $ TRDNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BENEFIT/TRC'NK WATER
S $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ I`t -7?O O $ TOTAL
?2 7
s ?
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSCED BY THE ENGINEERING
Q
LVO DIVISION. LIST AS A CO[VDITION.
SUBJECT TO THE FOL LOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
2004 RESIDENTIAL BUII,DING YERNIIT APPLICATION
City Of Eagan CJ C)
3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675---- FAX # 651-675-5694
New ConsWction Reauirements Remadel(Reoair Reauirements
3 registered site surveys showing sq. ft of lot, sq. ft of house; and all mofed areas 2 copies of plan
(20%ma)imum lotcoverage allowed) 1 setof Energy Calcula6ons forheated additlons
2 copies of plan showing b?m 8 window sizes; poured found design, etc. i site survey for addiiions 8 decks
1 set of Enert?y Calculatlons Add'fion - irMicate ifonsife septic system
3 copies af Tree Preservafion Plan if lot platted aHer 7/1193 ?
Rim Joist Defail Opfions selection sheet (bid95 with 3 or less units Date Q? / ,)01q / a ? Construction Cost p ? 5IO3 '
Site Address t
(,l`l\?
3?a ?
UniUSte #
Description of Work
Multi-Family Bldg T
_ Y_ N Fireplace(s) _ 0
_ 1 _ 2
Property Owner \ t,? C i 0. Telephone #U50 43-6 / 03
RMA HOME SERVICES, INC.
Contractar
- Home Deopt Installed Sales
Address _ 3200 Cobb Galleria Pkwy.Ste. #200 City
5tate Atlanta, GA 30339 Telephone #( )
'763-542-8826 BG20268257
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv I _
. Residential Ventilation Category 1 Worksheet
(? submission type) Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed agan with a similar plan?
fee applies. ??? ? ?T ?
Licensed Plumber
Mechanical
Sewer/Water
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Y_ N If so, 25% plan review
Telephone #(
Telephone # (
Telephone # (
I hereby apply, for a Residential Building Pernvt and aclaiowledge that the information is complete and accurate;
that the work will be in conformance with the ordinazices and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
appr va1 ofplans.
[5?f C.? R? d\.?)
. I J A IL
Apphcant's Pnnted Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation-- ? 07 05-plex ?. 13 16-plex-- -----0 20-Pool--- ---- 0-30-Accessory Bldg- --
? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ?. 31 Ext. Alt- Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext, A)f - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
Q 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Dem0lish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
Q 34 Replacement "aemoliHOn (Entire Bldg ) - Give PCA handout to appllcant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED I NSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) Final/No C.O.
_ Footings (addition) _
_ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Br ick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge _
S&W Permit & Surcharge
Treatment Piant
License Search
Copies
Other
Total
Building Inspector
Installed
Siding and Windows
LIMITED POWER.OF ATTORNEY
I;VUNTY OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home
Depot Installed Sales located at 6E0 Mendelssohn Avemie North, Crole'en Valley, MNT
55427, having a license number of BG 20268257, do hereby appoint, name and
constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary add appropriate, in order to obtain the proper
perrnit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "YJork").
The powers conveyed to the Agent by this Limited Powe: of Attcrney are
]imited solely to the express powers delineated herein ancl apPlysolely to the Work.
This Limited Power ofAttoniey shall expire arid automaticaliy be revoked on the 21st
day of Ivtay, 2004, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
uiy time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN Wi'T'NESS WHEREOF this Limited Power of Attorney is eaecuted this
21st day of May, 2003
David N. Katz
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21st day of May, 200?
?r
Notary P i ic in for the State of eorgia
My Commission Expires: January 21, 2006
396816.0
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA087998
Eagan, MN 55122 . Date Issued: 01/20/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 3842 Mill Run Lane
Lot: 4 Block: 12 Addition: Bridle Ridge 1st
PID 10-14996-040-12
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Crew2 Inc Bradley Ferg
2650 Minnehaha Ave 3842 Mill Run Lane
Minneapolis MN 55406 Eagan MN 55123
(612) 276-1680
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165567
Date Issued:11/06/2020
Permit Category:ePermit
Site Address: 3842 Mill Run Lane
Lot:4 Block: 12 Addition: Bridle Ridge 1st
PID:10-14996-12-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jonathan & Courtney Sand
3842 Mill Run Ln
Eagan MN 55123
Mcgrath Exteriors Inc
19454 Bauer Circle
Hastings MN 55033
(651) 283-7917
Applicant/Permitee: Signature Issued By: Signature